Chirurgie des endométriomes ovariens : de la physiopathologie à la prise en charge pratique pré-, per- et postopératoire

Bourdel N, Nicolas Bourdel, N Bourdel, Roman H, Horace Roman, H. Roman, Mage G, G. Mage, Michel Canis, M Canis
Gynecologie, obstetrique & fertilite · 2011 · vol. 39(12) , pp. 709–721 · doi:10.1016/j.gyobfe.2011.07.051 · PMID:22079743 · W2068135806
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper discusses the pathophysiology and practical perioperative management of ovarian endometriomas, covering pre-operative, operative, and post-operative phases.

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Abstract

Good knowledge of physiopathology, surgical techniques and of the literature allows for an adequate treatment of ovarian endometrioma. Preoperative medical treatment has not shown to be efficient and might be adapted to each patient (continuation or initiation of hormonal treatment in case of symptomatology, will for contraception, association with functional cyst). Laparoscopy is the mandatory surgical approach. Cystectomy is the surgical technique of choice but may affect normal ovarian tissu. Surgical technique should be meticulous in particular with respect to the hilum of the ovary. Exclusive coagulation using bipolar is not recommended. A hybrid technique associating both cystectomy and vaporization (laser or Plasmajet(©)) at the level of the hilum of the ovary could be interesting. Hemostasis should be spontaneous or obtained with bipolar coagulation with parcimony. Ovarian suture is a solution. Extra-ovarian lesions should be carefully searched for and treated. Anti-adhesion products should be applied. Postoperative medical treatment decreases recurrence and should be systematic for patients who do not want to conceive. Multidisciplinary approach is essential.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ovarian Diseases Perioperative Care Perioperative Care Endometriosis Endometriosis Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Ovarian Diseases Ovarian Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (100)

Cited by (15)

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